저자들은 서울대학병원 산부인과에서 수술 후 병리 조직학적으로 확진된 난소의 악성 림프종 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
A 52-year-old women visited Seoul National University Hospital due to abdominal distension and pelvic mass. Under the impression of ovarian malignancy, total abdominal hysterectomy, bilateral salpingo-oophorectomy, infra-colic omentectomy and lymph node biopsy was done. Histopathological & immunohistochemical study demonstrated the tumors to be non-Hodgkin`s lymphoma of diffuse large cell type, B-cell lineage with the involvement of both ovaries, tubes, uterus, omentum and regional lymph nodes. Bone marrow biopsy was done postoperatively and revealed normal. She got one cycle of VBP(vincristine, bleomycin, prednisolone) first, then the chemotherapy regimen was changed to COPBLAM (cyclophosphamide, vincristine, prednisolone, bleomycine, adriamycin, procarbazine). After six cycles of COPBLAM, she shows complete remission at 7 months of follow up after surgery. Characteristics of primary ovarian lymphoma are emphasized with a brief review of the literatures.